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C
Below Standard

KNOPP HEALTHCARE AND REHAB CENTER INC

1208 N LLANO · FREDERICKSBURG, TX 78624

8309973704 · For profit - Corporation

119 beds59 residents129 staff
CMS Five-Star Ratings
Overall
★★★★★
Staffing
★★★★★
Quality
★★★★★
Inspections
★★★★★
Staffing Grades
C
Below Standard
Total Staff
C
Below Standard
RN Staff
C
Below Standard
Overall
✗CMS Benchmark(≥ 3.48 HPRD)
✗RN Recommendation(≥ 0.75 HPRD)
✗Research Standard(≥ 4.10 HPRD)
📋

What This Means in Plain English

KNOPP HEALTHCARE AND REHAB CENTER INC receives an overall staffing grade of C (Below Standard). With 3.1175 total nurse hours per resident per day, this facility falls below the CMS staffing benchmark of 3.48 HPRD and has RN staffing of 0.5038 HPRD, below the recommended 0.75. It is 0.78 HPRD below the national average.

Weekend staffing stays relatively consistent — dropping 8.57% compared to weekdays. The facility relies heavily on temporary agency staff (24.06% of hours), suggesting potential workforce instability.

Staffing levels have been declining over recent quarters — worth monitoring.

🔍 Areas of Concern (3)

🚨Does not meet the CMS staffing benchmark of 3.48 HPRD. Current: 3.1175 HPRD — needs 0.36 more hours per resident per day.
⚠️RN staffing (0.5038 HPRD) is below the research-recommended minimum of 0.75 HPRD. This means less clinical oversight per resident.
⚠️24.06% of nursing hours come from agency/contract workers. High contractor reliance often means less continuity of care — staff who don't know the residents.

✨ Strengths (3)

✅No days with zero registered nurse hours this quarter
✅Consistent weekend staffing — only 8.57% drop-off
✅Highly consistent day-to-day staffing levels
Total Nurse HPRD
3.1175hrs/resident/day▼ 0.78
CMS benchmark: 3.48
RN HPRD
0.5038hrs/resident/day▼ 0.18
Recommended: 0.75
Weekend Drop-off
8.57%
3.195 weekday → 2.921 weekend
Agency Staff
24.06%
25.91% of RN hours from contractors
⚠ High contractor reliance
Days with Zero RN
0days this quarter
4+ days = auto 1-star
CNA HPRD
1.8204hrs/resident/day
Direct care aides
LPN HPRD
0.7623hrs/resident/day
Licensed practical nurses
Consistency
0.2888std dev
Lower = more predictable

HPRD Over Time

Total nurse staffing hours per resident per day, by quarter

Total HPRD (shaded area)RN HPRDCMS Benchmark (3.48) — staffing standardResearch Standard (4.10) — recommended level

How Does This Facility Compare?

Compared to county, state, and national averages for total nurse HPRD

vs. Gillespie County Average+0.08 HPRD
3.03
03.12 HPRD
vs. Texas State Average-0.29 HPRD
3.40
03.12 HPRD
vs. National Average-0.78 HPRD
3.90
03.12 HPRD
■ Colored bar = this facility · | Black line = average · Based on 2025Q3 data

Nearby Facilities

Compare with other nursing homes in the area

FacilityDistanceGradeTotal HPRDRN HPRDCMS Rating
KNOPP HEALTHCARE AND REHAB CENTER INC ★
FREDERICKSBURG · This facility
—
C
3.11750.5038★★★★☆
Avir at Enchanted Rock
FREDERICKSBURG
1.9 mi
D
3.09580.3871★☆☆☆☆
HILLTOP VILLAGE NURSING AND REHABILITATION
KERRVILLE
22.7 mi
F
3.06440.152★☆☆☆☆
Arbor View Nursing & Rehabilitation
KERRVILLE
23.5 mi
D
3.62990.2737★☆☆☆☆
Town and Country Nursing and Rehabilitation Center
Boerne
34.3 mi
C
3.20030.4913★☆☆☆☆
Deer Creek Nursing and Rehabilitation
Wimberley
50 mi
D
2.6960.5221★☆☆☆☆

Inspection History & Penalties

Health inspection results from state surveys — most recent first

5
Inspections
25
Total Deficiencies
$0
Fines Assessed
Jan 9, 2026Health
6 deficiencies cited
▼
Oct 16, 2024Health
2 deficiencies cited
▼
Oct 4, 2024Health
6 deficiencies cited
▼
Sep 20, 2024Health
2 deficiencies cited
▼
Aug 24, 2023Health
9 deficiencies cited
▼
CMS Severity Scale
A–C: No Harm / PotentialD–F: No Harm but ConcernG–H: Actual HarmI–L: Immediate Jeopardy

Source: CMS Staffing & Quality Data — 2025Q3 · data.cms.gov

Staffing grades are based on CMS-published thresholds and research recommendations. CMS is not affiliated with and does not endorse this website.